Troy Historic Village Membership Form
Please use this form to purchase your Troy Historic Village Membership!
Enter your contact information
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Select your membership package
Is this membership a gift?
*
No, this membership is for me and/or my family!
Yes! I am purchasing this Membership as a gift for someone else.
Gift Recipient Name
First Name
Last Name
Gift Recipient Email
example@example.com
Gift Recipient Phone Number
Please enter a valid phone number.
Gift Recipient Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
New or existing membership?
*
New member
Renewing member
Select the Membership level you'd like to purchase:
*
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Individual Membership - One Year
Membership for one adult (age 18 or older). Membership begins on date of purchase and is valid for one year from date of purchase.
$
35.00
Individual Membership - Two Years
Membership for one adult (age 18 or older). Membership begins on date of purchase and is valid for two years from date of purchase.
$
60.00
Household Membership - One Year
Membership for up to six adults and/or children. Membership begins on date of purchase and is valid for one year from date of purchase.
$
55.00
Household Membership - Two Years
Membership for up to six adults and/or children. Membership begins on date of purchase and is valid for two years from date of purchase.
$
90.00
Patron Membership - One Year
Membership for up to six adults and/or children. Membership begins on date of purchase and is valid for one year from date of purchase.
$
150.00
Patron Membership - Two Years
Membership for up to six adults and/or children. Membership begins on date of purchase and is valid for two years from date of purchase.
$
250.00
Barnard Benefactor - One Year
Membership for up to ten adults and/or children. Membership begins on date of purchase and is valid for one year from date of purchase.
$
350.00
Barnard Benefactor - Two Years
Membership for up to ten adults and/or children. Membership begins on date of purchase and is valid for two years from date of purchase.
$
600.00
Business Membership - One Year
Please review Business Membership benefits on our website. Membership begins on date of purchase and is valid for one year from date of purchase.
$
1,000.00
Primary Card Holder's Name:
Tell us more about your household. Up to (5) additional people can use your membership benefits. Who would you like to include on your membership?
Name
Relationship to Primary Card Holder
Additional Card Holder #2 (First & Last Name)
Additional Card Holder #3 (First & Last Name)
Additional Card Holder #4 (First & Last Name)
Additional Card Holder #5 (First & Last Name)
Additional Card Holder #6 (First & Last Name)
Tell us more about your household. Up to (9) additional people can use your membership benefits. Who would you like to include on your membership?
Name
Relationship to Primary Card Holder
Additional Card Holder #2 (First & Last Name)
Additional Card Holder #3 (First & Last Name)
Additional Card Holder #4 (First & Last Name)
Additional Card Holder #5 (First & Last Name)
Additional Card Holder #6 (First & Last Name)
Additional Card Holder #7 (First & Last Name)
Additional Card Holder #8 (First & Last Name)
Additional Card Holder #9 (First & Last Name)
Additional Card Holder #10 (First & Last Name)
Business Name
Please enter your payment information and click submit to complete your registration. Your membership purchase will not be finalized until payment is complete.
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Submit
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